SUBLEASE APPLICATION PACKET COVER PAGE Apartment Number: Applicant: Phone Number: Current Shareholder: Phone Number: PREREQUISITES FOR APPLICATION REVIEW The Admissions Committee will consider review of a sublease application only when all the application forms and all supporting documents have been completed and submitted as specified. Additionally, during the approval process, the Admissions Committee may request additional supporting documents from a prospective subtenant to complete the evaluation process. It is the responsibility of the prospective subtenant to submit and to supply three (3) copies of all application forms and supporting documentation, in collated sets to the Management Agent for submission to the Admissions Committee. Agent can be reached at Gramatan Management, 2 Hamilton Ave., Suite 217, New Rochelle, NY 10801 (Tel. 914-654-1414). SPECIAL CONDITIONS The shareholder and/or prospective subtenant being represented by a realtor, attorney or bank loan officer currently serving on the Windsor Board of Directors or its Admission Committee will not be given any special consideration or expedited approval in the sublease application process. In addition, as the sublease application is reviewed by the Admissions Committee or Board, the shareholder and/or prospective subtenant s representative currently serving on either the Committee or the Board must recuse himself/ herself from any discussion and vote. A family member of the shareholder and/or prospective subtenant, if currently serving on the Admissions Committee or the Board, must recuse himself/ herself from any discussion and vote. Admissions Committee Chairperson Initial Review - Check for completeness of application including all supporting documents. - Check with Board of Directors for written approval that the sublet is in compliance (according to the Sublease Policy) to proceed for an Admissions Committee review. - Check with Management Company that the shareholder has submitted proof of a current homeowner s liability insurance policy which covers the apartment as a rental. - Check with Management Company that the shareholder has submitted a $500 carpet compliance deposit. - Check with superintendent to confirm that he has copies of the keys to the apartment. All of the above prerequisites must be met in order for the application to proceed, no exceptions will be granted. The Admissions Committee itself cannot rule on changing or waiving some or all of the prerequisites for review and should not be contacted by the shareholder or prospective subtenant in this regard. All application approvals are at the sole discretion of the Board of Directors. Once the application passes initial review, the full Admissions Committee will review the application and will make a decision based solely on the merits of the application itself, including the supporting documentation and the credit report and the final interview with the applicant(s). Sublease Application Packet 5/1/13 Page 1
APPLICANT S REQUIREMENTS & CHECKLIST Sublease Application Packet (includes the following): To be completed and signed by prospective tenant(s). 1. Admission Form* (will be completed by Admissions Committee) 2. Applicant Information Form 3. Applicant Credit Authorization / Employment Release Form 4. Personal Financial Statements #1 and #2 (Income & Liability) 5. Financial Acknowledgment Form 6. References Form (Personal, Business, Landlord) 7. House Rules Acknowledgement Form 8. Carpet Compliance Acknowledgement Form 9. No Pets Acknowledgment Form 10. Emergency Contact Resident Questionnaire 11. Lead-Based Paint Disclosure Form and Lead Hazard Information Pamphlet Sublease Agreement & Rider: To be completed and signed by shareholder and prospective tenant(s) 1. Fully executed sublease agreement and rider (forms provided by Management Company) signed by both shareholder and prospective tenant(s) 2. Lead Paint Disclosure Supporting Documentation: To be submitted by prospective tenant(s) & attached to relevant forms. 1. Most recent federal income tax return filed and the two (2) most recent pay stubs. 2. Most recent bank statement (checking & savings) showing current balances. 3. Letter from employer verifying employment and salary. 4. Two (2) reference letters (Personal or Business). 5. One (1) landlord reference letter (if applicable and currently renting). 6. A check in the amount of $250 ($200 application processing fee + $50 credit check fee) payable to the Management Company. Please note: An additional $50 credit check fee is required for each additional applicant. 7. A carpet inspection administrative charge in the amount of $500 payable to 370 Westchester Ave. Corp., submitted by the shareholder in conjunction with this application, to be refunded after 80% carpet coverage has been verified. (see pages 11 & 15 for further information). 8. A move-in deposit in the amount of $250 payable to 370 Westchester Ave. Corp., payable prior to moving in, to be refunded after compliance with the move-in rules. (see page 15 for further information). Sublease Application Packet 5/1/13 Page 2
ADMISSION FORM ACCEPTANCE/DENIAL SUMMARY SUBLEASE This form will be completed by the Admissions Committee and returned to Management following the interview with prospective tenant. DATE: APPLICANT(S): UNIT NO. CURRENT SHAREHOLDER(S): COMMITTEE MEMBERS REVIEWING APPLICATION: 1. 4. 2. 5. 3. 6. APPROVED APPLICATION: YES NO DATE: DATE COMMUNICATED TO MANAGEMENT COMPANY BY Sublease Application Packet 5/1/13 Page 3
APPLICANT INFORMATION (Please fill in all information requested) DATE: UNIT NO. NAME OF APPLICANT(S): MAIDEN NAME OR OTHER NAME USED BY APPLICANT OR CO-APPLICANT Current Home Address Applicant Co-Applicant Approximate Length of Occupancy Telephone Number Home Telephone Number Mobile Email Address Name of Employer Business Address Occupation Length of Employment Names of any other persons to occupy the apartment (all must be listed): List any children to occupy the apartment: (There should be no other person occupying the apartment unless listed above) Sublease Application Packet 5/1/13 Page 4
APPLICANT CREDIT & EMPLOYMENT AUTHORIZATION RELEASE (Search of Credit History & Verification of Current Employer) In applying for this proposed lease, the undersigned understands that this consent is required by the terms of the proprietary lease and that this application is subject to approval of the Apartment Corporation. The undersigned understands that the information outlined herein is essential to evaluate the financial condition of the prospective subtenant and authorizes the procurement of a consumer investigative report. Additionally, the undersigned authorizes all credit agencies, bank, lending institutions, current and former employers and persons to release information they may have about the undersigned and release them from any liability and responsibility from doing so. This authorization, in original or copy form, shall be valid for this application only. Further information may be made available upon written request within a reasonable time. The undersigned also agrees to meet in person with the representative of the cooperative Apartment Corporation when requested to do so. Print Name of Applicant Print Name of Co-Applicant Signature of Applicant Signature of Co-Applicant Social Security Number Applicant Social Security Number Co-Applicant Sublease Application Packet 5/1/13 Page 5
DATE: PERSONAL FINANCIAL STATEMENT #1 INCOME NAME OF APPLICANT(S): Applicant Co-Applicant Social Security No. Applicant Co-Applicant Joint Only Annual Income (Current Year) Salary Bonus Commissions Real Estate Income Other* (Itemized) Total Income * Please attach a separate sheet listing any other itemized sources of income. It is optional to disclose income from alimony, child support or maintenance payments. Financial Statement Instructions: Please fill out all financial items that apply. If there is no annual income or liability in a given category, please indicate by entering zero. Sublease Application Packet 5/1/13 Page 6
PERSONAL FINANCIAL STATEMENT #2 LIABILITIES DATE: NAME OF APPLICANT(S): Liabilities Current Mortgage Loans Current Automobile Loans Applicant Co-Applicant Joint Only Credit Card Debt Other Liabilities* (Itemized) Total Liabilities * Please attach a separate sheet listing any other itemized liabilities. Sublease Application Packet 5/1/13 Page 7
PERSONAL FINANCIAL STATEMENT - ACKNOWLEDGMENT DATE: NAME OF APPLICANT(S): I (we) have examined this statement and hereby certify that the information contained herein is true, accurate and complete. Signature of Applicant Signature of Applicant Supporting Documentation Please attach the following supporting documentation to this form: 1. Letter from employer verifying employment and salary 2. Most recent federal income tax return 3. Two most recent pay stubs 4. Most recent bank statements * The Apartment Corporation may request additional information of financial or non-financial nature, as it deems necessary to assess the merits of the application. Sublease Application Packet 5/1/13 Page 8
APPLICANT REFERENCES (Please fill in all information requested) REFERENCES (Personal, Business, Landlord) NAME OF APPLICANT(S): Name of Reference #1 Reference #1 Address Applicant Co-Applicant Reference #1 Telephone Name of Reference #2 Reference #2 Address Reference #2 Telephone Name of Reference #3 Reference #3 Address Reference #3 Telephone Building residents known by applicant(s): * Please attach reference letters to this form Sublease Application Packet 5/1/13 Page 9
APPLICANT HOUSE RULES ACKNOWLEDGMENT DATE: NAME OF APPLICANT(S): I (we), have applied for consent to lease Unit No. of 370 Westchester Ave. Corp. I / We acknowledge receipt of the House Rules and agree to abide by the rules and regulations of 370 Westchester Ave. Corp. and any subsequent amendments. If consent to lease is granted by the Admissions Committee, I/we agree to be bound to all terms and conditions of the Corporation s By-Laws, Proprietary Lease and House Rules. Applicant Signature Co-Applicant Signature Sublease Application Packet 5/1/13 Page 10
APPLICANT CARPET COMPLIANCE ACKNOWLEDGMENT Pursuant to House Rules, all residents are required to have at least 80% of the floors in their apartments covered with carpeting or rugs and padding in each and every room, including the hallways, except the kitchen, bathroom and closets. In order to meet the standard of sufficient quality and thickness so as not to deprive their neighbors of the quiet enjoyment of their home the padding should be 40 oz. all fiber or its equivalent. A carpet inspection deposit of $500 payable to 370 Westchester Ave. Corp. is required from the shareholder upon submission of this application (see page 15 for further information). The deposit will be held by the Management Company until after the subtenant moves in and upon inspection and confirmation of carpet compliance. Thereafter, the deposit will be returned to the shareholder. I certify that I have read and agree to this House Rule and that I am aware that my compliance is required within 30 days of occupancy. In addition, I authorize Gramatan Management, Inc. or the Windsor Apartments superintendent to conduct an inspection in order to verify carpet compliance. Applicant Name & Apt. # Co-Applicant name Applicant Signature Co-Applicant Signature Sublease Application Packet 5/1/13 Page 11
NO PETS ACKNOWLEDGMENT NAME OF APPLICANT(S): I am / we are aware that pursuant to paragraph 13 of the Rider to Co-op Sublease Agreement between and it is prohibited for me/us to harbor any pet(s) in my / our apartment. Applicant Signature Co-Applicant Signature Sublease Application Packet 5/1/13 Page 12
EMERGENCY CONTACT / RESIDENT QUESTIONNAIRE Please print clearly and fill in section 1. Sections 2 and 3 will be handled after moving in. Personal information collected here is for Coop use only and will be kept confidential. Unit #: Shareholder or tenant name (s): Section 1: Right of entry; key. For full explanation of right of apartment entry by a Board authorized agent, please see the Proprietary Lease, section 25. Emergency entry by a Board authorized agent, as permitted by the Proprietary Lease, is allowed to make or facilitate repairs. In order to provide such access at all times, the shareholder must provide all apartment keys to the building staff. Even if your apartment key is kept with the building staff, the Co-op will still need to contact you if entry to your unit is required when you are not at home. Please provide emergency contact information below: Your home phone: _ - _ - Your cell phone: _ - _ - Your day time phone: _ - _ - Your email address: May the Corporation send informational notices to your email address? Yes No Section 2: Use of premises. For full explanation of the rights of Co-op and Shareholder please see the Proprietary Lease, section 14. Pursuant to the Proprietary Lease and New York State Law a shareholder is permitted to have a family member(s) or non-family person(s) reside with them TOGETHER WITH the shareholder whose name appears on the Stock Certificate and Proprietary Lease. Shareholders are required to notify the Co-op with the name of all such co-occupants. Under no circumstances may such co-occupant, family member or otherwise occupy the apartment except in the residential presence of the shareholder. All persons who intend to occupy the apartment as of the purchase date by the shareholder, must be interviewed by the Admissions Committee at that time. Any person who becomes an occupant together with the shareholder after the purchase date shall be considered a guest under the Proprietary Lease. Any such guest who resides in the apartment with the shareholder for more than thirty (30) days shall be required to register with the Co-op in writing to the Managing Agent, and to meet with the Admissions Committee of the Board, for an informal meet and greet session. For guests residing with the shareholder for more than 30 days, the Admissions Committee will conduct a meet and greet and register all such co-occupants. Please provide: Name(s) of each adult guest living in unit: Name (s) of each minor guest living in unit: Section 3: Use of parking lot. Officially, there is one parking space per unit. Please complete the requested information: Car #1 - make model car license plate # Windsor hanging tag # Do you have a valid state issued handicapped parking tag for this car? Yes No A second car spot is given based on availability and only on a provisional basis. Please contact the Parking Committee to be added to the waiting list. If you already have a second car, please complete the requested information: Car #2 - make model car license plate # Windsor hanging tag # Do you have a valid state issued handicapped parking tag for this car? Yes No If you need more space for your responses, please use the reverse page. Sublease Application Packet 5/1/13 Page 13
Disclosure of Information on Lead-Based Paint & Lead-Based Paint Hazard Lead Warning Statement Housing built before 1978 may contain lead-based paint. Lead from paint, paint chips, and dust can pose health hazards if not managed properly. Lead exposure is especially harmful to young children and pregnant women. Before renting pre-1978 housing, lessors must disclose the presence of known lead-based paint and/or lead-based paint hazards in the dwelling. Lessees must also receive a federally approved pamphlet on lead poisoning prevention. Lessor s Disclosure (initial) (a) Presence of lead-based paint and/or lead-based paint hazards (check (i) or (ii) below): (i) Known lead-based paint and/or lead-based paint hazards are present in the housing (explain). (ii) Lessor has no knowledge of lead-based paint and/or lead-based paint hazards in the housing. (b) Records and reports available to the lessor (check (i) or (ii) below): (i) Lessor has provided the lessee with all available records and reports pertaining to lead-based paint and/or lead-based paint hazards in the housing (list documents below). (ii) Lessor has no reports or records pertaining to lead-based paint and/or lead-based paint hazards in the housing. Lessee s Acknowledgement (initial) (c) Lessee has received copies of all information listed above. (d) Lessee has received the pamphlet Protect Your Family from Lead in Your Home. Agent s Acknowledgment (initial) (e) Agent has informed the lessor of the lessor s obligations under 42 U.S.C. 4852d and is aware of his/her responsibility to ensure compliance. Certification of Accuracy The following parties have reviewed the information above and certify, to the best of their knowledge, that the information they have provided is true and accurate. Lessor Lessor Lessee Lessor Agent Agent *NOTE: Please detach & retain the attached Lead Hazard EPA Pamphlet before submitting the application. Sublease Application Packet 5/1/13 Page 14
APPLICANT S INFORMATION SHEET You will be notified by Gramatan Management of the Admission s Committee s decision to accept or deny this application, typically within one business day after your interview meeting with the Committee. Carpet Inspection Deposit Upon submission of the application the shareholder must submit to Gramatan Management a carpet inspection deposit of $500 payable to 370 Westchester Ave. Corp. The deposit will be held by the Management Company until after your move-in date. This fee is refundable to the shareholder upon inspection and confirmation of your carpet compliance. Move-in Deposit Upon approval of the application you must submit to Gramatan Management a move-in fee of $250, payable to the order of 370 Westchester Ave. Corp. The deposit will be held by the Management Company until after the move-in date. This fee is refundable if the move-in occurs without any damage to the building, its grounds and common areas, and pursuant to the move-in policies of the Building. The Building Superintendent Juan Contreras will be in charge of coordinating your move-in date and should be given at least two weeks notice to schedule. The move-in is restricted from Monday to Saturday from the hours of 9 AM to 4:30 PM, as scheduled with the Superintendent. After your move-in, you must schedule a carpet inspection with the Superintendent. Upon compliance of the move-in rules and carpet rules the Superintendent will contact Gramatan Management to issue the refund checks. Contact Information for Move-in and Carpet Inspection The Superintendent s office phone number is 914-935-9581. Gramatan Management can be contacted at 2 Hamilton Ave., Suite 217, New Rochelle, NY 10801 (Tel. 914-654-1414). Please retain this information sheet along with the House Rules and the Lead Hazard Information Pamphlet. Sublease Application Packet 5/1/13 Page 15